Recurrent vitreous haemorrhage and epidural haematoma in a child with hypofibrinogenaemia

Department of Ophthalmology, American University of Beirut, Beirut, Lebanon

Correspondence to Professor Ahmad M Mansour, ammansourmd{at}gmail.com

A 14-month-old male infant was brought by parents for redness of the right eye of 18 days duration. Exam and B-scan ultrasonography
revealed total hyphema, dense vitreous haemorrhage and lens subluxation in the right eye while CT disclosed right small epidural
haematoma. The left eye had neither retinal haemorrhage nor disc oedema. There was no sign of shaken baby syndrome. Fibrinogen
level in the blood was very low. The parents are first-degree cousins with two family members having hypofibrinogenaemia.
Vitreous haemorrhage recurred after surgical intervention resulting in phthisis and loss of vision. Hypofibrinogenaemia needs
to be included in the differential diagnosis of ocular haemorrhage and vision loss.